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Medicare Contracting Reform

What'sNew

On May 06, 2008, CMS announced it has awarded the contract for the Jurisdiction 2 (J2) A/B MAC to National Heritage Insurance Corporation (NHIC).  J2 includes the states of Alaska, Idaho, Oregon and Washington.  On May 27, 2008, a protest against the award was filed with the Government Accountability Office (GAO). CMS is currently taking corrective action on certain aspects of the award decision.  In the meantime, the current fiscal intermediaries and carriers will continue to provide Medicare claims processing services under their contracts.

On June 11, 2008, CMS announced it has awarded the contract for Jurisdiction 7 (J7) A/B MAC to Pinnacle Business Solutions Inc. (PBSI).  J7 includes the states of Arkansas, Louisiana and Mississippi.  On July 2, 2008, a protest against the award was file with GAO.  GAO's decision on the protest must be issued no later than 100 days after the protest was filed.  In this case, the deadline for the GAO decision on the protest is October 10, 2008.  In accordance with the Competition in Contracting Act (CICA), the filing of the protest triggered an automatic stay on performance of the PBSI- contract pending GAO's decision. 

On September 12, 2008, CMS announced it has awarded the contract for Jurisdiction 9 (J9) to First Coast Service Options, Inc (FCSO). FCSO will be responsible for the workload in Florida, Puerto Rico and U.S. Virgin Islands.  As the J9 A/B MAC, FCSO will immediately begin implementation activities and will assume full responsibility for the work no later than March 2009.  A background sheet and Qs & As related to the award are available below. 

This site is updated regularly.  All major website changes occurring within the last 30 days will be logged here for easy reference.

Downloads
J9 A/B MAC Award Background Sheet (PDF, 57KB)

J9 A/B MAC Award Qs & As (PDF, 49KB)
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Page Last Modified: 09/16/2008 11:10:04 AM
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